NORTH MISSISSIPPI EMERGENCY SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTH MISSISSIPPI EMERGENCY SERVICES INC (EIN 64-0780130)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-09
IRS object ID
201212229349301371
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-09T15:18:47-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 E Capitol Street Ste 500AddressLine1
CityJacksonCity
StateMSState
ZIP Code392012190ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN640780130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1North Mississippi Emergency ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone6623773977Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoe ReppertName
TitleExecutive Vice President/CFOTitle
Date Signed2012-08-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NamePenny Wood CPAName
Phone6019486700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoe ReppertNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3924026GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionNorth Mississippi Emergency Services provides contract emergency room physician services to hospitals and operates an air ambulance service.ActivityOrMissionDescription
Termination Or ContractionXTerminationOrContraction
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4344253ProgramServiceRevenuePriorYear
Program Service Revenue CY3923672ProgramServiceRevenueCY
Investment Income Prior Year1222InvestmentIncomePriorYear
Investment Income Current Year354InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4345475TotalRevenuePriorYear
Total Revenue Current Year3924026TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year722517SalariesEtcPriorYear
Salaries Etc Current Year727427SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3023901OtherExpensePriorYear
Other Expenses Current Year3154085OtherExpensesCurrentYear
Total Expenses Prior Year3746418TotalExpensesPriorYear
Total Expenses Current Year3881512TotalExpensesCurrentYear
Revenues Less Expenses Prior Year599057RevenuesLessExpensesPriorYear
Revenues Less Expenses CY42514RevenuesLessExpensesCY
Total Assets BOY867178TotalAssetsBOY
Total Assets EOY626069TotalAssetsEOY
Total Liabilities BOY179226TotalLiabilitiesBOY
Total Liabilities EOY195603TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY687952NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY430466NetAssetsOrFundBalancesEOY
Mission DescriptionNORTH MISSISSIPPI EMERGENCY SERVICES (NMES) PROVIDES CONTRACT EMERGENCY ROOM PHYSICIAN SERVICES TO HOSPITALS IN NORTH MISSISSIPPI AND OPERATES AN AIR AMBULANCE SERVICE THAT SERVES NORTH MISSISSIPPI. NMES IS PART OF THE NORTH MISSISSIPPI HEALTH SERVICES (NMHS) ORGANIZATION. THE MISSION OF NMHS IS TO CONTINUOUSLY IMPROVE THE HEALTH OF THE PEOPLE OF OUR REGION. NMES WORKS TO ACHIEVE THIS CORPORATE MISSION TO IMPROVE THE HEALTH OF THE PEOPLE OF THIS REGION BY PROVIDING CONVENIENTLY ACCESSIBLE, COST-EFFECTIVE HEALTH CARE OF THE HIGHEST QUALITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1244940Expense
Revenue3688283Revenue
DescriptionNorth Mississippi Emergency Services (NMES) operates an air ambulance service that serves north Mississippi. The helicopter service operates under the name CareFlight with the helicopter leased from Air Methods, the largest medical aviation provider in America. Air Methods also provides NMMC with pilots who have many years of flight experience and thousands of hours of flight time, and an experienced, full time aircraft mechanic who is responsible for the maintenance and upkeep of the aircraft. Based at Tupelo Regional Airport, Careflight has logged thousands of flights to various destinations in Mississippi, Alabama, Tennessee, Louisiana, and Arkansas. CareFlight, regulated by the Mississippi State Department of Health's Emergency Medical Services Division, is licensed as a critical care transport service, the highest level of care obtainable in the United States for EMS. When requested, the flight crew provides critical care treatment to patients at any scene or referring facility within a 150-mile radius at their time of need. The helicopter cruises at 120 miles per hour.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2528772Expense
Revenue235389Revenue
DescriptionEmergency room physician coverage expensesDescription
FieldValueIRS element (for citing)
Total Program Service Expense3773712TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationtruePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOE REPPERTNamePerson
Telephone Number6623773977TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 SOUTH GLOSTER STREETAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
John Heer
President1.0X010930059580
Bruce Toppin
Secretary1.0X02941608380
Joe Reppert
Treasurer1.0X05023019005
Gerald Wages
Former Treasurer0.006327828862X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2522248TotalReportableCompFrmRltdOrgs
Total Other Compensation35827TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonComplete Billing SolutionsNamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 676592AddressLine1
CityDALLASCity
StateTXState
ZIP Code752676592ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesBilling ServicesDescriptionOfServices
Compensation106392Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Flight Revenue90009936882833688283
ER Physician Fees900099235389235389
FieldValueIRS element (for citing)
Total Program Service Revenue3923672TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column354TotalRevenueColumn
Exclusion$354ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3924026TotalRevenueColumn
Related Or Exempt Function Income3923672RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$354ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total559562Total
Program Services559562ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total126996Total
Program Services126996ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total40869Total
Program Services40869ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total53364Total
Management And General53364ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2600Total
Management And General2600ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total307775Total
Program Services307775ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total116053Total
Program Services116053ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20944Total
Program Services20944ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1303Total
Program Services1303ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3270Total
Program Services3270ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18858Total
Program Services18858ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total51836Total
Management And General51836ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bad Debt Expense12946451294645
HELICOPTER EXPENSE12449401244940
Special Functions56335633
Taxes and Licenses33003300
Repairs & Maintenance30493049

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26515Total
Program Services26515ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3881512Total
Program Services3773712ProgramServices
Management And General107800ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY466245BOY
EOY272269EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY350772BOY
EOY308622EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY14392BOY
EOY5044EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis200330LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec160196LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35769BOY
EOY40134EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY867178BOY
EOY626069EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY112923BOY
EOY133902EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY66303BOY
EOY61701EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY179226BOY
EOY195603EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY687952BOY
EOY430466EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY687952BOY
EOY430466EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY867178BOY
EOY626069EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses42514ReconcilationRevenueExpenses
Reconcilation Other Changes-300000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2621305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3682707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4055291CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4344253CurrentTaxYearMinus1Year
Current Tax Year3923672CurrentTaxYear
Total18627228Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2621305CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3682707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4055291CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4344253CurrentTaxYearMinus1Year
Current Tax Year3923672CurrentTaxYear
Total18627228Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years212504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years230517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year149553CurrentTaxYearMinus1Year
Current Tax Year170879CurrentTaxYear
Total1072394Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years308941CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years212504CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years230517CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year149553CurrentTaxYearMinus1Year
Current Tax Year170879CurrentTaxYear
Total1072394Total
FieldValueIRS element (for citing)
Public Support Total50917554834PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1222CurrentTaxYearMinus1Year
Current Tax Year354CurrentTaxYear
Total4178Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1217CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years985CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1222CurrentTaxYearMinus1Year
Current Tax Year354CurrentTaxYear
Total4178Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2621705CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3683924CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4056276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4345475CurrentTaxYearMinus1Year
Current Tax Year3924026CurrentTaxYear
Total18631406Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94222PublicSupportPercentage509
Prior Year Support Percentage0.90800PriorYearSupportPercentage
Investment Income Percentage0.00022InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00026PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis200330OtherCostOrOtherBasis
Depreciation160196Depreciation
Book Value40134BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings40134TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to AffiliatesDescription
Amount$61,701Amount
FieldValueIRS element (for citing)
Total Of Amounts61701TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X, Line 2:Identifier
ExplanationThe System applies Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740 for Income Taxes ("Topic 740"), which clarifies the accounting for uncertainty in income tax positions and provides guidance on when tax positions are recognized in an entity's financial statements and how the values of these positions are determined. There has been no impact on the entity's financial statements as a result of topic 740.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
John Heer
06801140330722082169049000468001102585
Bruce Toppin
02224060653030645104900034800302540
Joe Reppert
0379320010643301654804900041050511306
Gerald Wages
02692250139878022367904900039620641644

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPart I, Line 4b:Identifier
ExplanationParticipants: Gerald Wages $213,346 John Heer $75,376 Joe Reppert $15,738 Terms & Conditions: North Mississippi Health Services, Inc. (NMHS) Adopted the management deferred annuity plan (the Plan) on October 1, 1998. Participants in the plan are designated by the compensation committee of the board of directors of NMHS. At the beginning of each plan year, NMHS shall pay a contribution, less witholding for taxes, to the participant's annuity contract, which is a deferred annuity contract selected, owned, and controlled by the participant. The contribution is determined by multiplying the participant's compensation in the preceding plan year by a percentage set forth in appendix b of the plan. A participant is terminated from the plan on the earliest of: (1) the date the board determines the employee is no longer a participant; (2) the date the participant retires; (3) the date that the participant dies; or (4) the date the participant no longer is employed by NMHS for reasons other than retirement or death.Explanation

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation TableLiquidationTable

Disposition Table DispositionTable

FieldValueIRS element (for citing)
Description Of AssetCashDescriptionOfAsset
FMV Of Asset300000FMVOfAsset
Method Of FMV DeterminationActual CostMethodOfFMVDetermination
EIN640653269EIN
Name PersonNorth Mississippi Health ServicesNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1830 South Gloster StreetAddressLine1
CityTupeloCity
StateMSState
ZIP Code38801ZIPCode
FieldValueIRS element (for citing)
IRC Section501(c)(3)IRCSection
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2
Employee Of Successor2falseEmployeeOfSuccessor2
Owner Of Successor2falseOwnerOfSuccessor2
Receive Compensation2falseReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Page 6, Part VI, Section A, Line 6:North Mississippi Emergency Services is a not-for-profit, nonstock, membership corporation of which North Mississippi Health Services, Inc. is the sole member and has sole voting control.
Form 990, Page 6, Part VI, Section A, Line 7a:The Governance Committee of North Mississippi Health Services, Inc., which is made up of past Chairmen, nominate candidates for the Board. These candidates are then approved by the Board of North Mississippi Health Services, Inc.
Form 990, Page 6, Part VI, Section A, Line 7b:The Board of North Mississippi Health Services, Inc. approves all transactions that exceed $1 million.
Form 990, Page 6, Part VI, Section B, Line 11B:The Form 990 goes through a review process in the Accounting Department. The accountant for each facility reviews the returns for reasonableness and accuracy. All totals are tied to the audit reports, and all amounts are cross-referenced to schedules or other parts of the actual return. Once the accountant reviews the return, the Accounting Supervisor and the Director of Accounting review the return. The Supervisor does a detailed review by checking the return for the same items that the accountant checked for. The Director then does a higher level review, reading the return for reasonableness and comparing prior year amounts to current year amounts. Finally, the Vice President of Finance reviews the return for reasonableness. The returns are then sent to the Executive Vice President/Treasurer to be reviewed. The Treasurer signs the return and it is then sent to the IRS.
Form 990, Page 6, Part VI, Section B, Line 12c:An annual conflict of interest questionnaire is required to be completed by all officers and directors of the organization. The questionnaire is reviewed by North Mississippi Health Services, Inc.'s compliance officer and conflict committee. The conflict committee reviews conflict transactions and makes recommendations to the board of directors regarding conflict transactions in accordance with the organization's conflict of interest policy. All members of the conflict committee are prohibited from engaging in transactions with the organization or its affiliates during their tenure on the conflict committee and one year after their service concludes.
Form 990, Page 6, Part VI, Section B, Line 15 a&b:An independent compensation consulting firm, The Hay Group, is used to help establish the compensation of the CEO, Executive Director, other officers, and key employees. The firm presents their independent analysis, which contains comparability data, to the Compensation Committee of North Mississippi Health Services, Inc. In addition to this, the VP of Human Resources obtains another independent analysis from another compensation consulting firm in order to verify the information provided by The Hay Group. The compensation of the individuals are then approved by the Compensation Committee. The individual whose compensation is being discussed is not present during the discussion or approval of their compensation. The discussions and decisions regarding the compensation are documented in the minutes of the meetings. Compensation of these individuals is approved annually.
Form 990, Page 6, Part VI, Section C, Line 19:The governing documents, conflict of interest policy, and financial statements are available to the public upon request. A consolidated statement of operations is available on the organization's website.
Form 990, Page 12, Part XI, Line 5:Transfer of capital to North Mississippi Health Services, Inc.: <300,000>
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:John Heer TITLE:President HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Bruce Toppin TITLE:Secretary HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Joe Reppert TITLE:Treasurer HOURS:39FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Gerald Wages TITLE:Former Treasurer HOURS:40FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
North MS Management Services Inc
830 S Gloster StreetTupeloMS38801640762694Mgmt & AdminDE501(c)(3)11-INA
North MS Health Services Inc
830 S Gloster StreetTupeloMS38801640653269Mgmt ServicesDE501(c)(3)11-IINA
Clay County Medical Corporation
830 S Gloster StreetTupeloMS38801640668465HospitalDE501(c)(3)3NA
Tishomingo Health Services Inc
830 S Gloster StreetTupeloMS38801640741047HospitalDE501(c)(3)3NA
Pontotoc Health Services Inc
830 S Gloster StreetTupeloMS38801640751410HospitalDE501(c)(3)3NA
North MS Medical Clinics Inc
830 S Gloster StreetTupeloMS38801640787918Med ClinicsDE501(c)(3)3NA
Tupelo Service Finance Inc
844 Cliff Gookin BlvdTupeloMS38801640508308CollectionsDE501(c)(3)3NA
Webster Health Services Inc
830 S Gloster StreetTupeloMS38801640819193HospitalDE501(c)(3)3NA
Marion Regional Medical Center Inc
830 S Gloster StreetTupeloMS38801640926753HospitalDE501(c)(3)3NA
North MS Medical Center Inc
830 S Gloster StreetTupeloMS38801640662976HospitalDE501(c)(3)3NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
North MS Health Link Inc
830 S Gloster StreetTupeloMS38801640715886Medical ServicesDENAC Corp
North MS Enterprises Inc
830 S Gloster StreetTupeloMS38801640658059Medical ServicesDENAC Corp
Professional Practice Management Inc
830 S Gloster StreetTupeloMS38801721390014Med Serv MgmtDENAC Corp
Acclaim Inc
830 S Gloster StreetTupeloMS38801721356116Hlth Care ClaimsDENAC Corp
North MS Support Services Inc
830 S Gloster StreetTupeloMS38801260718275Support ServicesDENAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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